Senate approves bill aimed at reducing nursing home staff turnover
STATE HOUSE – The Senate today approved legislation sponsored by Sen. Gayle L. Goldin to help reduce staff turnover at nursing homes to improve the quality of care.
The legislation (2019-S 0144), which will now go to the House, directs managed care organizations to consult with the Executive Office of Health and Human Services to develop incentives for nursing homes that demonstrate lower direct-care staff turnover.
Numerous studies have shown that high direct-care staff turnover rates at nursing homes correlates with lower quality care and poorer patient health.
“Nursing home workers — who are predominately women — perform a job that is physically and emotionally demanding, for wages that are usually very low. The turnover rate is significant, and it hurts patients because their caregivers must be familiar with their needs. For the sake of patient care and the workers who provide it, we need a system that creates incentives to retain high-quality direct-care workers, not one that lets facilities continue to profit while patient care suffers as a result of high turnover,” said Senator Goldin (D-Dist. 3, Providence).
A comprehensive 2013 analysis published in the Journal of Nursing Administration using survey data from a nationally representative sample of 1174 nursing homes demonstrated that nursing homes with high CNA turnover had more than triple the odds of resident pain, and approximately double the odds of both pressure ulcers and urinary tract infections.
In 2014, an analysis of a nationally representative sample of nursing homes concluded that nursing homes with a high rate of licensed nurse turnover had doubled odds of deficiencies in quality of care, which includes deficiencies in medications, nasogastric tube care, nutrition and hydration.
The bill is cosponsored by Senate Health and Human Services Committee Chairman Joshua Miller (D-Dist. 28, Cranston, Providence).
For more information, contact:
Meredyth R. Whitty, Publicist
State House Room 20
Providence, RI 02903